Active NPI
Elizabeth Dawn Crane, LCSW
- Clinical Social Worker
- Hannibal, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2022039940
- Practice address
- 2 Melgrove LN Ste 204
Hannibal, MO 63401-2200 - Phone
- (573) 600-0730
- NPI assigned
- May 29, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2019006982 | MO | |
| Clinical Social Worker | 1041C0700X | 2022039940 | MO | Primary |
Addresses
Primary practice location
2 Melgrove LN Ste 204
Hannibal, MO 63401-2200
Mailing address
2 Melgrove LN Ste 204
Hannibal, MO 63401-2200
Phone (573) 600-0730
Other names 1
- Elizabeth Dawn Crane
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019006982 | MO | MD | Clinical Social Worker |
| 2022039940 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark Twain Association for Mental Health, Inc. | Current | Accepting new patients | |
| Mark Twain Association for Mental Health, Inc | Current | Accepting new patients |
Locations
2 Melgrove Ln
Ste 204
Hannibal, MO 63401
Phone (573) 221-0102
154 Forrest Dr
Hannibal, MO 63401
Phone (573) 221-2120
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mark Twain Behavioral Health
- Community/Behavioral Health Agency
- Hannibal, MO
- NPI 1700933363
-
- Critical Access Hospital
- Louisiana, MO
- NPI 1205837218
-
dba Mark Twain Behavioral Health
- Community/Behavioral Health Agency
- Hannibal, MO
- NPI 1104368703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690848000000",
"number": "1891353538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 MELGROVE LN STE 204",
"city": "HANNIBAL",
"state": "MO",
"postal_code": "634012200",
"telephone_number": "573-600-0730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 MELGROVE LN STE 204",
"city": "HANNIBAL",
"state": "MO",
"postal_code": "634012200",
"telephone_number": "573-600-0730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRANE",
"first_name": "ELIZABETH",
"middle_name": "DAWN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-29",
"last_updated": "2023-08-01",
"certification_date": "2023-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2019006982",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2022039940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "CRANE",
"middle_name": "DAWN",
"credential": "LCSW",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Hannibal, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.